TransCode Therapeutics Advances TTX-MC138 to Phase 2a Clinical Trials
TransCode Therapeutics announced further results of the Phase 1a dose escalation clinical trial. The trial met its primary endpoint of safety, with positive tolerability, combined with disease stabilization in multiple patients, and the absence of dose-limiting toxicities with its lead therapeutic candidate TTX-MC138. TTX-MC138, an investigational inhibitor of the key metastatic driver, microRNA-10b, has shown durable disease control. These findings support advancing TTX-MC138 into Phase 2a clinical development to assess efficacy in patients with circulating tumor DNA, or ctDNA, positive colorectal cancer following curative-intent therapy. TTX-MC138 has been administered to 16 patients who received 86 doses. The median treatment duration was 11.3 weeks, with a range of four to 52.4 weeks, representing 2 to 20 cycles of treatment. Notably, three patients remain on trial, and continue to receive TTX-MC138. One patient is at 21 cycles of treatment, another is at 16 cycles, and the third one is at 14 cycles of treatment. TransCode believes these results support its selection of the recommended Phase 2a dose of 4.8mg/kg. In addition, the assessment of the trial patient population underscored the potential for durable disease control in participants with metastatic cancer. A clinical study report is in process. Several presentations are planned at future scientific congresses.
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- Clinical Trial Launch: TransCode Therapeutics has announced the initiation of its lead antagomiR program TTX-MC138 in a Phase 2a clinical trial targeting ctDNA-positive colorectal cancer, marking a significant advancement in the oncology sector and likely attracting increased investor interest.
- Webcast Announcement: The company will host its first live virtual R&D webcast on June 18, 2026, at 10:00 a.m. ET, providing strategic, scientific, and clinical updates about its development pipeline, aimed at bolstering investor confidence in the company's future prospects.
- Investment Thesis Articulation: CEO Philippe P Calais emphasized that the enrollment of TTX-MC138 represents a meaningful inflection point on a capital-disciplined timeline, which is expected to create new growth opportunities and attract further capital investment.
- Multi-Platform Pipeline: TransCode's three-platform pipeline includes not only TTX-MC138 but also other first-in-class therapeutic candidates designed to mobilize the immune system to recognize and destroy cancer cells, further solidifying its market position in cancer treatment.
- Significant Pre-Market Gains: Picard Medical, Inc. (PMI) surged 34% to $0.36 in pre-market trading, indicating strong investor interest likely driven by positive clinical trial updates, which may attract further investment.
- Other Gaining Stocks: Connect Biopharma Holdings Limited (CNTB) rose 14% to $2.44, while LifeVantage Corporation (LFVN) increased 10% to $9.46, suggesting an improving investor sentiment in the biotech sector that could enhance overall industry performance.
- Pre-Market Decliners: TransCode Therapeutics, Inc. (RNAZ) fell 22% to $4.13, reflecting negative market reactions to recent news, which may lead investors to reassess its future prospects.
- Market Sentiment Impact: The overall pre-market trading indicates volatility in biotech stocks, prompting investors to closely monitor clinical trial results and corporate developments to make more informed investment decisions.
- Clinical Trial Success: TransCode Therapeutics has successfully met the primary safety endpoint in its Phase 1a dose escalation trial, with no dose-limiting toxicities reported among patients, indicating the safety and potential efficacy of its therapeutic candidate TTX-MC138.
- Significant Disease Stabilization: TTX-MC138, an investigational inhibitor targeting the key metastatic driver microRNA-10b, has demonstrated durable disease control in multiple patients, further validating its application potential in treating high-risk cancers.
- Phase 2 Development Plan: Following the positive results from Phase 1a, TransCode is advancing TTX-MC138 into Phase 2a clinical development to evaluate its efficacy in patients with circulating tumor DNA (ctDNA) positive colorectal cancer post-curative intent therapy, aiming to provide new treatment options for this high-risk patient population.
- Innovative Treatment Outlook: The development of TTX-MC138 not only offers new hope for metastatic cancer patients but also has the potential to advance RNA therapeutic strategies through precision treatment targeting ctDNA, enhancing the company's competitive position in the oncology immunotherapy market.










